The HELLP Syndrome: Clinical Issues and Surgical Management: A Case Report Study

Giuseppe Massimiliano De Luca1, Viviana Danese2*, Angela Soldato3, Miriam Farinelli4, Paolo Barbieri5, Alessandro Perrone6 and Giovanni Landolfo6

1Department of General Surgery, “Vincenzo Bonomo”, University Polyclinic Hospital of Bari, Italy
2Department of Chemistry and Pharmaceutical Technology, University “Aldo Moro” of Bari, Italy
3Department of Gynecology and Obstetrics, University Polyclinic Hospital of Bari, Italy
4Department of Obstetrics and Gynecology, State Hospital - ISS – San Marino Republic, Italy
5Department of Anesthesiology and Intensive Care, State Hospital - ISS – San Marino Republic, Italy
6Department of General Surgery, State Hospital - ISS – San Marino Republic, Italy

^*Correspondance to: Viviana Danese 

 PDF  Full Text DOI: 10.25107/2474-1647.3504

Abstract

Spontaneous rupture of liver hematoma is a rare and potentially life-threatening complication of preeclampsia. Short interval between diagnosis and management may enhance the feto-maternal survival rate and prevent further morbidity or mortality. We admitted a 37-year-old woman at 35+4 weeks of gestation for emergency cesarean section after the onset of right hypochondrium pain and we treated liver hematoma rupture with hepatic packing in different time. The newborn was healthy, in perfect cardiovascular and respiratory conditions. At last check-up after 6 months, the abdomen ultrasound showed complete recanalization of the portal vein and normal resorption of hepatic hematomas. The choice of laparotomy and hepatic packing has proved to be a viable option in patients with unstable vital signs and is feasible even in limited resource settings.

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Cite the article

De Luca GM, Danese V, Soldato A, Farinelli M, Barbieri P, Perrone A. The HELLP Syndrome: Clinical Issues and Surgical Management: A Case Report Study. Clin Surg. 2022; 7: 3504..